Search › California › 156FX1800X
Stan Blackwell, A.B.O.C
NPI 1700206901 · on the registry since 2014 · sole proprietor
Practice
- Address
- 10612 Los Alamitos Blvd
Los Alamitos, CA 90720 - Phone
- (562) 493-3569
- Fax
- (562) 596-8948
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California